Kelly Bouie, - Medicare Nurse Practitioner in Irving, TX

Kelly Bouie, is a medicare enrolled "Nurse Practitioner - Family" in Irving, Texas. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Easter Seals - Michigan, Inc. and her current practice location is 3050 Regent Blvd Ste 200, Irving, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 689-8079.

Kelly Bouie is licensed to practice in Michigan (license number 2016013730) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023561537.

Contact Information

Kelly Bouie,
3050 Regent Blvd Ste 200,
Irving, TX 75063-5806
(214) 689-8079
Not Available



Provider's Profile

Full NameKelly Bouie
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location3050 Regent Blvd Ste 200, Irving, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Bouie graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1023561537
  • Provider Enumeration Date: 08/01/2016
  • Last Update Date: 08/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2860770872
  • Enrollment ID: I20161026001628

Medical Identifiers

Medical identifiers for Kelly Bouie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023561537NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704242969 (Michigan)Secondary
363LF0000XNurse Practitioner - Family 2016013730 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Easter Seals - Michigan, Inc.983014167056

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Bouie allows following entities to bill medicare on her behalf.
Entity NameEaster Seals - Michigan, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376526616
PECOS PAC ID: 9830141670
Enrollment ID: O20050221000100

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Entity NameSeniors Wellness Group Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801848718
PECOS PAC ID: 7012950462
Enrollment ID: O20050607000150

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Entity NameSeniors Wellness Group Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801848718
PECOS PAC ID: 7012950462
Enrollment ID: O20050607000229

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Bouie is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Bouie,
1203 Baldwin Cir,
Holly, MI 48442-9369

Ph: (248) 343-1767
Kelly Bouie,
3050 Regent Blvd Ste 200,
Irving, TX 75063-5806

Ph: (214) 689-8079

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Nurse Practitioner Nurses in Irving, TX

Bilkish Chunara,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2021 N Macarthur Blvd, Ste 210, Irving, TX 75061
Phone: 972-253-4370    Fax: 972-823-6407
Mrs. Tien Vu, WHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6750 N Macarthur Blvd Ste 211, Irving, TX 75039
Phone: 214-647-1533    
Jilly John,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6363 N State Highway 161 Ste 100, Irving, TX 75038
Phone: 469-200-3272    
Chelsea Jean Hawkins, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4425 W Airport Fwy Ste 450, Irving, TX 75062
Phone: 469-726-4402    
Andrea Nicole Fernandez, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1111 S Irving Heights Dr, Irving, TX 75060
Phone: 972-579-7979    
Ellen Cathleen Allison, RNCWHCNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2001 N Macarthur Blvd, Ste 540, Irving, TX 75061
Phone: 972-253-5000    Fax: 972-253-1109
Esther Boro,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Belt Line Rd Ste 201, Irving, TX 75061
Phone: 214-631-9992    

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